Yu dɔn gɛt bad bad bak pen wantɛm wantɛm? Ɔ na afta aksidɛnt ɔ fɔdɔm? Yu dɔn ɛva notis se sɔntɛnde wi mama ɛn papa kin bɛn fɔdɔm ɛn nɔ gɛt bɛtɛ ayt as dɛn de ol? Sɔntɛm rizin de biɛn dis we wi nɔ kin ivin tink bɔt. Dat na we di spayna brok. wi kin kכl dis "spinal frakshכn."
Fɔ tɔk am simpul wan, wetin na spɛnal fraktrɔs?
Wi spayna gɛt 33 smɔl bon dɛn we dɛn dɔn gɛda pan dɛnsɛf. Dɛn kɔl ɛni wan pan dɛn bon dɛn ya vaybra . So, we wan ɔ mכr pan dεn vεrbra dεm ya brok כ brok, wi kin kכl am spεnal frakshכn .
Tu men rizin dɛn de fɔ dis. Wan pan dɛn na ɔstioporosis , we na wan sik we de mek yu bon dɛn tan. Di ɔda wan na trauma to di spayna, lɛk aksidɛnt, fɔdɔm, ɔ spɔt injuri.
Bɔrku tɛm, dɛn kin trit dɛn kayn fraktrɔs ya ɛn nɔr gɛt ɔpreshɔn. Yu go nid fɔ wɛr spɛshal bres fɔ sɔm mɔnt. Bɔt fɔ siriɔs fraktrɔs, i rili nid fɔ du ɔpreshɔn.
Ɛni kayn fraktrɔs ya de?
Yɛs, dɔktɔ dɛn kin sheb dɛn fraktrɔs ya to difrɛn kayn dɛn, i kin dipen usay na di spayna di frakt ɛn aw i brok.
Klasifikɛshɔn bay di spayna pozishɔn
- sεvikal spayna frakshכn: Dis kin apin na di vεrbra dεm na yu nεk.
- di tכraks spayna frakshכn: na di vεrbra dεm we de na di כp spayna, we de kכmכt frכm di bכs pat na di nεk te to di εnd pan di rib dεm.
- Lumbar spine fracture: Na frakshכn na di vεrbra dεm na yu lכw bכk.
Klasifikɛshɔn akɔdin to aw dɛn brok di bon
difrεn men tכp dεm de dipכnt pan aw di bon dεn brok. If yu ɔndastand dɛn tin ya wan bay wan, yu go ebul fɔ ɔndastand dis fayn fayn wan.
| Fraktrɔs Tayp | Fɔ tɔk am simpul wan, . | Bɔku tɛm na di rizin |
|---|---|---|
| Kɔmpreshɔn Fraktrɔs | I tan lɛk se dɛn de krɔs wan vertebra. Smɔl smɔl krak krak dɛn de fɔm. | כstioporosis (di bon dεm we de tכn) kin kam sכmtεm sכmtεm as tεm de go. |
| Fraktrɔs we Bɔst | Di prɛshɔn we dɛn kin prɛs pasmak wantɛm wantɛm kin mek di vayrɔs brok ɛn bɔs. | Wantɛm wantɛm, bad bad impak, lɛk fɔ jomp frɔm ay ɛn land na yu fut, ɔ siriɔs motoka aksidɛnt. |
| Chans (Flekshɔn/Distrakshɔn) Fraktrɔs | di vεrbra dεm dεn pul dεm apat εn brok. I tan lɛk di ɔda say we bɔrst fraktrɛshɔn. | Bɔku tɛm, i kin apin we pɔsin gɛt siriɔs motoka aksidɛnt. Dis kayn tin kin apin we dɛn kech di sit bɛlt rawnd di wes ɛn trowe di ɔpa bɔdi fɔ go bifo wantɛm wantɛm. |
Stebul ɔ Nɔ Stebul?
Dis na bak wan rili impɔtant klasification.
- Stebul Frakshכn: insay dis kes, pan כl we di vεrbra dεn brok, i nכ de muv frכm in כrijinal posishכn. Dis min se di alaynɛshɔn fɔ di spayna nɔ de chenj. Dis nɔ kin izi fɔ mek dɛn du ɔpreshɔn pan am.
- Unstable Fracture: Dis na di sik wae de pasmak. di vεrbra dεm dכn brok εn i nכ de na in ples. dis de mek di risk fכ damej pan di spεnal kכd we de rכn tru di spayna. I go mɔs bi se dis nid fɔ gɛt ɔpreshɔn.
Udat dɛn de pan denja mɔ?
Fɔ tru, ɛnibɔdi kin gɛt sɔntin lɛk dis bikɔs i fɔdɔm ɔ aksidɛnt. Bɔt fɔ sɔm pipul dɛn, di prɔblɛm kin pas smɔl.
- Fɔ pipul dɛn we dɔn pas 50 ia, mɔ fɔ uman dɛn.
- Pipul wae gɛt ɔstioporosis (bone thinning disease) kin gɛt di risk pas ɔl.
- Di wan dɛn we gɛt kansa (espɛshali di wan dɛn we de du kemotɛrapi ɔ redyushɔn tɛrapi).
- Fɔ di wan dɛn we de tek mɛrɛsin lɛk kɔtikosterɔyd fɔ lɔng tɛm.
- Fɔ di wan dɛn we gɛt haypa tayroyd (ɔva aktiv tayroyd gland).
- Fɔ di wan dɛn we gɛt bon infɛkshɔn (Osteomyelitis).
- Fɔ di wan dɛn we gɛt sik lɛk kidni sik, anorexia nervosa, ɛn vaytamɛn D we nɔ de.
- Pipul wae de smok ɛn drink pasmak kin gɛt bɔrku risk bak.
Wetin na di sayn dɛm we de sho se pɔsin in spaynal brok?
I sɔprayz fɔ no se sɔm pipul dɛn kin gɛt dis sik ɛn nɔr kin gɛt ɛni sayn. Kɔmpreshɔn fraktrɔs, mɔ di wan dɛn we de divɛlɔp sloslo bikɔs ɔf ɔstioporosis, nɔ kin mek ɛni pen. Sɔm pipul dɛn kin jɔs no se dɛn gɛt brok brok vayb we dɛn gɛt ɛkstrem rayt fɔ ɔda sik.
Bɔt if di sayn dɛn de sho, dɛn kin tan lɛk dis.
| Di sayn we de sho se di sik de | Tɔk bɔt |
|---|---|
| Bak pen | Wan pen we kin shayn wantɛm wantɛm. Di pen kin bɔku we yu de waka ɔ muv. |
| Swel ɔ pen we tumɔs fɔ ebul fɔ handle | Di bon we brok kin swel ɛn i kin mek i fil pen we yu tɔch am. |
| Chenj dɛn we yu de chenj di we aw yu de tinap | Wan fɔdɔm bɛnd (hunching) bigin we nɔ bin de bifo. Wi kin kɔl dis bak (Kyphosis) . |
| Numbness ɔr nɔr de fil fayn | di bak kin sכmtεm, εn di sכmtin kin travul dכn di an כ di leg dεm. |
| Di ayt we pɔsin kin lɔs | As tɛm de go, di ayt kin go dɔŋ bad bad wan (sɔntɛm bay sɔm inch dɛn). |
| Nɔ ebul fɔ kɔntrol di urine/feces | Wan inability fɔ kɔntrol urinate ɔ bowel muvmɛnt we nɔ bin de bifo. Dis na siriɔs sayn. |
I rili impɔtant: If yu dɔn gɛt siriɔs aksidɛnt (trauma), ilɛksɛf yu gɛt bak pen ɔ yu nɔ gɛt ɔda siriɔs injury, go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm. Sɔm injury dɛn nɔ kin si fɔs bɔt dɛn kin siriɔs leta.
Aw di dɔktɔ kin no bɔt dis? (Diagnosis) .
We yu go si yu dɔktɔ, i go chɛk yu fɔs. I go tek tɛm luk yu bak fɔ ɛni say we yu de fil pen, swel, ɛn chenj we yu de tinap. I rili impɔtant fɔ tɛl am ustɛm yu fil di pen ɛn aw lɔng yu dɔn gɛt am.
Afta dat, dɛn kin du bɔku tɛst fɔ no if pɔsin gɛt di sik, lɛk:
- X-ray: yu kin yuz dis fכ si if frakshכn de εn aw fa di vεrbra dεm dכn slip kכmכt na di ples.
- MRI skan: Dis kin si klia wan if eni damej de pan di sכft tisu dεm we de rawnd di spayna, spεshal wan di spεnal kכd.
- CT skan: Dis kin ɛp fɔ gɛt wan rili klia, ditayli pikchɔ bɔt di damej we di bon dɛn gɛt if nid de fɔ ɔpreshɔn.
- Bone density test (DEXA scan): Dɛn kin du dis tɛst fɔ no if yu gɛt ɔstioporosis ɛn aw i bad.
Aw dɛn kin trit am?
As a bin dɔn tɔk bifo tɛm, nɔto ɔl di spaynal fraktrɔs dɛn nid ɔpreshɔn. Di tritmɛnt kin dipen pan tin dɛm lɛk di kayn fraktrɔs, usay i de, ɛn wetin mek i brok.
Tritmɛnt we nɔto ɔpreshɔn
- Bracing: Yu dɔktɔ kin se yu fɔ wɛr spɛshal bak bres fɔ mek yu spayna nɔ de na wan ples ɛn ɛp di bon we dɔn brok fɔ wɛl fayn fayn wan. Bɔku tɛm, dɛn kin nid fɔ wɛr dis fɔ sɔm mɔnt.
- Fizik Tɛrapi: I rili impɔtant fɔ ɛksesaiz fɔ mek di mɔsul dɛn we de rawnd di spayna strɔng. Dis go mek di pen nɔ bɔku ɛn i go mek i nɔ gɛt mɔ fraktrɔs tumara bambay.
- Fɔ trit ɔstioporosis: If yu gɛt dis sik, dɛn go gi yu mɛrɛsin, sɔpɔt lɛk kalsiɔm, ɛn vaytamɛn D fɔ mek yu bon dɛn strɔng.
Ɔspitul tritmɛnt
If di fraktrɔs de pan denja fɔ pwɛl yu spɛnal kɔd, ɔ if yu pen nɔ de bɛtɛ afta sɔm mɔnt we dɛn dɔn trit yu, yu kin nid fɔ gɛt ɔpreshɔn. Di tu kayn ɔpreshɔn we dɛn kin du mɔ na:
- Vertebroplasty: Insay dis prosidur, di sajin kin injekt wan spɛshal siment insay di vertebra we brok. Dis kin ɛp fɔ mek di bon strɔng.
- Kyphoplasty: 1.Dis na di sem tin lɛk Vertebroplasty. Bɔt bifo dɛn injɛkt di simen, dɛn kin put wan rili smɔl balyɔn insay di bɛlɛ ɛn ful-ɔp am, ɛn dis kin mek di bon we dɔn pwɛl kam bak to di ayt we i bin de fɔs. Na da tɛm de nɔmɔ dɛn kin injɛkt di simen.
Dɛn tu ɔpreshɔn ya kin bi ɔutpeshɛnt, bɔt yu fɔ avɔyd fɔ es ebi ebi ɔ fɔ du ɛksɛsayz fɔ lɛk 6 wik afta di ɔpreshɔn.
Mɛsej we dɛn kin kɛr go na os
- Nɔ ɛva ignore bak pen, mɔ afta yu dɔn fɔdɔm ɔ as yu de ol. Fɔ tru, yu go si dɔktɔ.
- Ɔstioporosis na sik we nɔ de tɔk natin ɛn we de mek di bon dɛn wik. If yu de na di grup we gɛt di sik (we pas 50 ia, mɔ if yu na uman), i go fayn fɔ mek dɛn chɛk yu bon dɛnsiti.
- Nɔto ɔl di spaynal fraktrɔs dɛn nid ɔpreshɔn. Bɔrku pipul kin wɛl wɛl wit di yus fɔ bres ɛn fizik tritmɛnt.
- Kip yu bon dɛn strɔng wit gud it (kalsiɔm, vaytamɛn D) ɛn ɛksesaiz fayn fayn wan. Dɔn bak, tek tin dɛn we go mek yu nɔ fɔdɔm ɛn aksidɛnt.
- If yu gɛt siriɔs aksidɛnt, go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm, ilɛksɛf i de mek yu fil pen. I kin sev yu layf.
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